CMS Extends Enforcement Discretion For No Surprises Act QPA Calculations

Health insurers can use an invalidated methodology to calculate the qualifying payment amounts (QPAs), or median in-network rates, that are integral to the No Surprises Act’s patient cost-sharing requirements -- and its independent dispute resolution (IDR) process -- for an additional six months, CMS announced this week. The agency said it was taking the step because insurers need more time to figure out how to develop the QPA in a way that complies with an Aug. 24 court order that...